effect of a modified surgical technique on the incidence of vault haematomas

To evaluate the effects of a modified incision and closure technique on the incidence of vault haematomas and post operative morbidity after vaginal hysterectomy. This study was conducted in Lady Aitchison Hospital, Lahore from November 2011 to December 2012. 100 patients aged 40 to 70 years having utero-vaginal prolapse undergoing vaginal hysterectomy were included in the study. Vaginal hysterectomy was performed with a modified Incision. Patients were observed for fever, pain and vaginal bleeding. Pelvic ultrasound was carried out for any pelvic collection or haematomas. Patients were followed for one month. Patients with complaints of lower abdominal pain, vaginal spotting, bleeding or fever were readmitted and evaluated. Out of 100 patients, 2% patients developed vault haematomas, 11% developed pain, 5% developed fever. 7% patients stayed at hospital for 5-6 days due to complications. Haematoma was confirmed by ultrasound in 2% cases and those were readmitted. Conservative management was done. No patient required surgical evacuation. Adoption of the modified technique resulted in a significant fall in postoperative morbidity due to haematoma formation.

Comparative study of different drugs in treatment of post caesarean section spinal headache using spinal anaesthesia

To compare the effectiveness of Paracetamol+ Orphenadrine, Naproxen Piroxicam, and Paracetamol+ Caffeine in the treatment of post c/s spinal headache occurring in obstetrical patients undergoing lscs after spinal anesthesia. A comparative study. Department of obst. and gynae. Lady Aitcheson Hospital, Lahore from September to December 2005. 693 patients who underwent LSCS [both emergency and elective] in LAH. Lahore from Sep. to Dec. 2005; in spinal anesthesia were studied .Out of these 296 patients C/O spinal headache. Post-op hydration status was noted and rehydration was done with i/v and oral fluids.Pre-op dehydrated patients were excluded from the study. Patients were randomly divided and were given Paracetamol+Orphenadrine, Piroxicam, Naproxin and Paracetamol+Caffine. Effects of these drugs were noted. Out of 693 patients 296 patients had spinal headache.32 patients responded to simple hydration and were excluded from the study